| NPI | 1417214149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY BUTLER Executive Director 703-580-6372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: VA CO-339-09) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2012-04-19 |